No
ICD-10 Deskripsi Jumlah ALOS 1 Z48.0 Attention t 1723 2 Z09.8^I64 Stroke, not 1007 3 Z09.8^M54Sciatica 862 4 Z09.8^A16Tb lung wit 741 5 Z09.8^E11Non-insuli 653 6 Z09.8^I10 Essential ( 364 7 Z34.9 Supervisio 326 8 H52.1 Myopia 304 9 Z04.9 Examinatio 302 10 Z09.8^R51Headache 291 11 Z09.8^K30Dyspepsia 288 12 K30 Dyspepsia 285 13 Z09.8^G40Epilepsy, u 272 14 H52.4 Presbyopia 257 15 Z09.8^E11Non-insuli 245 16 Z09.8^A16Resp tb un 228 17 Z09.8^M54Sciatica, s 216 18 Z09.8^R42Dizziness a 187 19 Z09.8^J40 Bronchitis, 186 20 Z34.8 Supervisio 178 21 Z09.8^K21Gastro-oes 151 22 Z09.8^A01Typhoid fe 139 23 Z09.8^E11Non-insuli 137 24 Z09.8^J06.Acute upper 130 25 Z03.9 Observation 125 26 Z09.8^K29Gastritis, 120 27 Z09.8^G51Bell's palsy 119 28 J06.9 Acute upper 114 29 Z09.8^I11.Hypertensiv 112 30 I10 Essential ( 110 31 K21.9 Gastro-oes 109 32 Z09.8^G83Paralytic 105 33 Z09.8^R00Bradycardi 102 34 Z09.8^E14Unspecified 98 35 Z09.8^I69.Sequelae of 98 36 Z09.8^E14Unspecifie 96 37 Z09.8^I50.Congestive 93 38 Z09.8^G62Polyneurop 89 39 A09.9 Gastroenter 85 40 J40 Bronchitis, 84 41 H53.1 Subjective 82 42 M54.3 Sciatica 82 43 H52.2 Astigmatis 78 44 Z09.8^A09Gastroenter 75 -
Tindakan Tindakan Konsul / ViTenaga AhlKeperawat 80764500 0 2.42E+08 11795984 65855999 0 0 1.46E+08 4704000 39778000 0 0 1.41E+08 0 31955000 0 0 1.22E+08 168000 29722000 0 0 89139000 4777184 26129001 0 0 47920000 3061157 12837000 59000 0 63192000 593864 13374000 7896344 0 38419100 1287000 16009500 745501 40000 33772500 91000 8104760 0 0 46536000 411594 10605000 455000 0 45120000 1680000 12378756 75000 0 31036320 1881000 14597360 0 0 43265000 0 11972000 6131948 0 30581000 1621500 14785000 59000 0 31737000 1344000 9141998 0 0 26120000 4024000 6414000 0 0 27391000 1008000 12329000 0 0 26548000 168000 6616000 0 0 26987500 1512000 7713500 0 0 22010000 4872000 8122000 0 0 22219000 672000 6159260 0 0 18176000 1008000 5434000 236000 0 19101000 672000 6444000 0 0 18036000 168000 4519000 0 0 13521000 489500 4915000 0 0 8346000 1435000 2270000 0 0 18744000 504000 4471000 0 0 12455000 180000 5499000 0 0 13587000 1046000 3313000 0 0 13962000 1344000 4761760 0 0 15964000 317585 4663000 0 0 16504000 336000 3985000 0 0 16469000 168000 3800000 0 0 16510000 72128 4005000 0 0 16592000 0 3127997 0 0 15792000 168000 4145000 0 0 14480000 168000 4167000 0 0 14936000 0 3115000 0 0 8238000 9000 4273760 0 0 10039000 685000 3742500 873000 0 9818200 429000 4160000 0 0 12829500 0 3540000 1432362 0 9009000 429000 3960000 0 0 11195000 259000 2400000
45 E11.9 Non-insuli 46 Z09.8^P59Neonatal j 47 H25.9 Senile cata 48 Z09.8^E14Unspecified 49 Z09.8^K74Other and u 50 Z09.8^G44Tension-ty 51 N23 Unspecified 52 J45.9 Asthma, un 53 H26.9 Cataract, u 54 H52.6 Other disor 55 H25.8 Other senil 56 R50.9 Fever, unsp 57 Z09.8^E11Non-insuli 58 Z09.8^P03Fetus and 59 R10.4 Other and 60 K04.0 Pulpitis 61 L23.9 Allergic co 62 Z09.8^H81Benign par 63 Z09.8^J18.Bronchopne 64 Z09.8^J45.Asthma, un 65 L30.9 Dermatitis, 66 K04.1 Necrosis of 67 Z09.8^E05Thyrotoxico 68 H10.9 Conjunctivi 69 Z09.8^A16Oth respira 70 Z09.8^F95.Tic disorde 71 Z09.8^N30Cystitis, u 72 R51 Headache 73 Z09.8^M19Arthrosis, 74 H10.3 Acute conju 75 H52.0 Hypermetr 76 R06.0 Dyspnoea 77 Z09.8^A16Prim respir 78 A16.2 Tb lung wit 79 H11.0 Pterygium 80 M54.39 Sciatica, s 81 N70.9 Salpingitis 82 Z09.8 Follow-up 83 B35.4 Tinea corp 84 Z96.1 Presence of 85 R42 Dizziness a 86 I84.9 Unspecifie 87 Z09.8^M79Rheumatism 88 Z09.8^M47Spondylosis 89 Z00.1 Routine ch
74 74 73 73 72 71 68 67 63 63 61 60 60 60 58 52 52 52 51 51 47 46 46 44 44 43 43 42 42 40 40 40 40 38 38 38 38 38 36 36 35 34 34 33 30 -
0 0 396000 0 0 0 0 0 444500 1192681 937043 0 0 0 0 2514200 0 0 43828 0 118000 1576800 0 145500 0 0 0 163500 0 485000 1082086 0 0 0 635681 0 59000 134681 0 436500 0 119000 0 0 0
0 10556000 624000 3401760 0 10200000 840000 2535000 0 10247500 143000 4360000 0 10807000 336000 3671000 0 10072000 504000 2503000 0 8536000 1176000 3301000 0 7799000 271000 3809000 0 7290520 258000 3266500 0 7194600 191500 2701500 0 7579000 0 3365000 0 6578000 0 2830000 0 5981000 181000 3244520 0 10085000 90389 2685000 0 6424000 840000 1972729 0 5784500 658000 2560000 0 4769000 350000 2085000 0 8166000 286000 2200000 0 6504000 336000 2147000 0 7472000 168000 2392000 0 7058000 374000 2430760 0 6995000 168000 2489000 110000 3803000 282700 1916000 0 6296000 336000 1786000 0 5768600 143000 2240000 0 1008000 0 240000 0 6048000 168000 1851000 0 6000000 336000 1270000 0 5423000 143000 2282000 0 7136000 0 1670000 0 4887000 572000 2330002 0 5308000 286000 2220000 0 4264620 348000 2130040 0 5608500 0 2744000 0 5658000 91000 1790000 0 4450000 429000 1875000 0 5107999 0 1929000 0 6646000 336000 1415000 0 5247000 140681 2395000 0 5880000 0 1763000 0 4202000 143000 1625000 0 3687000 0 1856760 0 4612000 168000 1340000 0 5544000 0 1350000 0 4776000 0 615000 0 5120000 0 1135000
90 Z39.2 Routine po 91 H00.0 Hordeolum 92 K29.7 Gastritis, 93 Z09.8^I11.Hypertensiv 94 B37.9 Candidiasis 95 H00.1 Chalazion 96 R33 Retention o 97 Z09.8^E14Unspecified 98 N40 Hyperplasia 99 Z09.8^K29Other acute 100 I64 Stroke, not 101 O47.0 False labo 102 R00.1 Bradycardi 103 E11.6 Non-insuli 104 Z09.8^I13.Hypertens h 105 Z09.8^N39Urinary tra 106 H11.8 Other speci 107 G44.2 Tension-ty 108 L02.9 Cutaneous 109 Z09.8^I13.Hypertensi 110 Z09.8^M79Fibromyalg 111 Z09.8^N23Unspecified 112 D24 Benign neo 113 N93.9 Abnormal u 114 T14.1 Open wound 115 M19.9 Arthrosis, 116 P59.9 Neonatal j 117 G40.9 Epilepsy, u 118 Z09.8^M54Sciatica, l 119 Z09.8^N10Acute tubul 120 Z09.8^N40Hyperplasia 121 L30.8 Other speci 122 Z09.8^K04Pulpitis 123 Z09.8^K04Necrosis of 124 Z48.8 Other speci 125 Z09.8^D64Anaemia, u 126 Z09.8^E11Non-insuli 127 Z09.8^I84.Unspecifie 128 Z09.8^L23.Allergic co 129 Z09.8^L30.Dermatitis, 130 Z09.8^L91.Keloid scar 131 A01.0 Typhoid fe 132 B30.9 Viral conju 133 E05.9 Thyrotoxico 134 N72 Inflammator
30 29 29 29 27 27 27 27 26 26 25 25 25 24 24 24 23 22 22 22 22 22 21 21 21 20 20 19 19 19 19 18 18 18 18 17 17 17 17 17 17 17 16 16 16 -
1066000 0 2768000 168000 2553000 5795500 1130000 3828000 48500 1448500 0 0 1135000 876000 845000 0 0 4576000 168000 995000 0 0 4155000 168000 1000000 344500 0 3821600 0 1495000 460000 0 3360600 210000 995000 222000 0 3864000 0 1218000 244000 0 3798000 328000 1813600 0 0 1138000 168000 280000 0 0 5286860 0 1243360 0 0 5208000 160000 1223760 0 0 3864000 0 1120000 0 0 3864000 0 1110000 0 0 4202701 4216498 665000 0 0 3764000 0 770000 48500 0 3146000 0 1420000 0 0 3153000 168000 825000 45000 800000 3210000 0 1128000 109707 0 3719031 1381027 3943674 0 0 3312000 0 610000 0 0 3689000 168000 610000 59000 0 2838500 168000 830000 59000 0 3453500 168000 825000 1890000 0 1718500 90000 1371760 0 0 2755000 0 745000 0 0 3192000 0 760000 0 0 3024000 0 915000 0 0 3232000 0 735000 0 0 3024000 168000 715000 210000 0 2640000 504000 485000 0 0 2663000 0 800000 1070000 0 1440000 96000 565000 1150100 0 1536000 110000 746000 530000 0 2225000 336000 866000 0 0 2392000 0 728000 0 0 677000 0 155000 59000 0 2728000 0 615000 0 0 2688000 0 833000 0 0 2850000 0 668000 402000 0 2887000 168000 525000 0 0 2282000 0 1498000 145500 0 2288000 0 1000000 0 0 2016000 0 545000 0 0 2826000 90000 630000
135 I50.0 Congestive 136 Z09.8^J44.Chronic ob 137 C50.9 Malignant 138 H52.7 Disorder of 139 I11.0 Hypertensiv 140 I15.9 Secondary 141 L91.0 Keloid scar 142 N39.0 Urinary tra 143 R11 Nausea and 144 Z01.0 Examinatio 145 Z03.8 Observatio 146 Z09.8^A16Tb pleurisy 147 Z09.8^I15.Secondary 148 Z34.0 Supervision 149 G62.9 Polyneurop 150 G83.9 Paralytic 151 H10.1 Acute atopi 152 H10.8 Other conju 153 H20.9 Iridocyclit 154 J18.0 Bronchopne 155 N83.2 Other and 156 N93.8 Other spec 157 Z09.8^D45Polycythae 158 Z09.8^K80Calculus of 159 Z09.8^N70Salpingitis 160 E14.9 Unspecifie 161 H04.9 Disorder of 162 J02.9 Acute phary 163 K80.2 Calculus of 164 L50.9 Urticaria, 165 M54.59 Low back pa 166 N91.2 Amenorrhoe 167 Z09.8^C50Malignant 168 Z09.8^H52Myopia 169 Z09.8^N18Chronic ren 170 E11.5 Non-insuli 171 E14.3 Unspecifie 172 G51.0 Bell's palsy 173 H16.9 Keratitis, 174 H44.2 Degenerati 175 K74.6 Other and u 176 L08.0 Pyoderma 177 L20.9 Atopic derm 178 N91.1 Secondary 179 Z09.8^B37Candidiasis
15 15 14 14 14 14 14 14 14 14 14 14 14 14 13 13 13 13 13 13 13 13 13 13 13 12 12 12 12 12 12 12 12 12 12 11 11 11 11 11 11 11 11 11 11 -
0 0 174000 105000 0 0 0 0 0 0 0 119000 0 0 0 0 0 48500 194000 0 0 0 0 0 0 0 0 0 0 118000 0 0 59000 153500 0 59000 194000 0 97000 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2727500 1848000 1512000 2517000 1657000 1032000 2352000 1347000 1210960 1965700 548500 2184000 935000 3387000 1837000 1680000 1430000 1520000 1859000 1807000 1906500 1782500 2111000 1848000 1842000 1782000 1716000 896500 1938000 1220500 1597000 2508000 1176000 1144000 2135707 1735000 1287000 1642000 1573000 1573000 1544500 1848000 1266000 2008000 1840000
205000 515000 0 440000 90000 415000 0 405000 0 588360 336000 1150720 237000 590000 0 719000 90000 768760 0 1229500 516000 645000 0 520000 168000 135000 168000 460000 0 575000 336000 545000 0 640000 0 620000 0 775000 123500 651000 336000 545000 0 550000 168000 410000 0 445000 168000 797000 0 635000 0 705000 270000 440000 0 540000 0 758000 0 673360 0 585000 168000 498000 286000 475000 0 1082994 168000 495000 143000 565000 0 390000 0 665000 0 725000 168000 490000 0 455000 0 796000 0 460000 0 448000
180 Z09.8^E04Nontoxic go 181 Z09.8^M54Low back pa 182 Z09.8^N20Calculus of 183 Z32.0 Pregnancy, 184 H11.3 Conjunctiv 185 H81.1 Benign par 186 M79.1 Myalgia 187 N30.9 Cystitis, u 188 P38 Omphalitis 189 Z09.8^B35Tinea corp 190 Z09.8^G82Paraplegia, 191 Z09.8^N47Redundant 192 P03.4 Fetus and 193 Z09.8^G81Hemiplegia 194 Z09.8^L08.Pyoderma 195 Z09.8^M10Idiopathic 196 Z09.8^M79Rheumatism 197 Z09.8^M79Neuralgia a 198 Z09.8^P96Condition o 199 E04.9 Nontoxic go 200 E11.4 Non-insuli 201 I11.9 Hypertensiv 202 K40.9 Unilateral 203 K59.0 Constipati 204 L21.9 Seborrhoei 205 Z09.8^D24Benign neo 206 Z09.8^E11Non-insuli 207 Z09.8^H10Conjunctivi 208 Z09.8^J18.Pneumonia, 209 Z09.8^M32Systemic l 210 Z09.8^M43Spondylolys 211 Z09.8^N83Other and 212 Z09.8^R50Fever, unsp 213 Z48.9 Surgical fo 214 A16.9 Resp tb un 215 D48.7 Neoplasms 216 E14.5 Unspecified 217 I69.4 Sequelae of 218 K04.7 Periapical 219 M79.7 Fibromyalg 220 R04.0 Epistaxis 221 Z09.8^A49Bacterial i 222 Z09.8^B36Pityriasis v 223 Z09.8^C11Malignant 224 Z09.8^H52Presbyopia
11 11 11 11 10 10 10 10 10 10 10 10 999999988888888888888877777777777-
0 0 1680000 0 0 1602000 0 0 1720000 59000 0 626000 0 0 1605000 0 0 1060000 0 0 972000 0 0 1720000 0 0 1680000 0 0 1680000 0 0 1800000 0 0 1512000 0 0 1512000 0 0 1256000 0 0 1512000 0 0 1344000 0 0 672000 0 0 1176000 0 0 672000 0 0 895000 0 0 1344000 0 0 1098000 59000 0 840000 0 0 954000 118000 0 1176000 177000 0 1008000 0 0 672000 0 0 1359000 0 0 1008000 0 0 1344000 0 0 1176000 0 0 1266994 0 0 904000 534000 0 1249000 0 0 1176000 48500 1800000 815000 134000 0 1008000 0 0 990000 426700 0 672000 0 0 1008000 0 0 696000 0 0 1216000 0 0 1008000 0 0 840000 312181 0 858000
0 400000 0 530000 168000 370000 0 2152000 0 440000 168000 518000 0 285000 0 375000 0 430000 0 430000 0 280000 168000 385000 0 345000 0 733000 0 360000 0 335000 336000 333000 168000 438000 672000 245000 0 220000 0 450000 0 666500 168000 240000 0 365000 0 310000 0 210000 168000 438000 0 295000 0 240000 0 320000 168000 200000 168000 586000 0 400000 168000 314000 0 270000 168000 270000 0 478360 0 230000 0 295000 0 315000 291500 280000 0 240000 0 448000 0 200000 143000 385000
225 Z09.8^I12.Hypertensiv 226 Z09.8^I21.Acute myoca 227 Z09.8^J42 Unspecified 228 Z09.8^M06Rheumatoid 229 Z09.8^O47False labo 230 Z09.8^R10Other and 231 A16.7 Prim respir 232 C56 Malignant 233 D56.9 Thalassaem 234 H04.5 Stenosis an 235 H10.5 Blepharocon 236 H40.2 Primary an 237 K29.1 Other acute 238 N20.0 Calculus of 239 N76.0 Acute vagin 240 O34.2 Maternal c 241 R04.2 Haemoptys 242 R59.1 Generalize 243 T14.0 Superficial 244 Z09.8^H53Subjective 245 Z09.8^L02.Cutaneous 246 Z09.8^M19Arthrosis, 247 Z09.8^M79Neuralgia a 248 Z09.8^N04Nepthrotic 249 Z09.8^P38Omphalitis 250 Z09.8^P39Infection s 251 Z09.8^R06Dyspnoea 252 A16.5 Tb pleurisy 253 A16.8 Oth respira 254 B35.3 Tinea pedi 255 C73 Malignant 256 G43.9 Migraine, 257 H15.1 Episcleritis 258 J03.9 Acute tonsi 259 J18.9 Pneumonia, 260 J44.9 Chronic ob 261 K01.1 Impacted t 262 K05.1 Chronic gin 263 L21.0 Seborrhoea 264 L24.9 Irritant co 265 M54.5 Low back p 266 N13.3 Other and 267 N61 Inflammato 268 N80.9 Endometrio 269 R07.4 Chest pain,
777777666666666666666666666555555555555555555-
0 0 0 0 0 0 0 0 0 48500 194000 48500 0 0 0 475000 0 0 135000 0 0 0 0 0 0 0 0 0 0 0 0 0 97000 0 0 0 186700 0 0 0 0 0 59000 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
672000 840000 1008000 1176000 1004000 930000 672000 1171000 2263516 858000 715000 858000 540000 712000 585000 1049000 528000 895000 450000 715000 975999 840000 1008000 1008000 1168000 840000 852000 762000 0 840000 712000 233000 809200 426000 672000 684000 514000 480000 840000 840000 581000 802000 727000 696500 438000
168000 168000 0 0 0 0 0 0 0 0 143000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91000 0 0 0 0 90000 0 0 0 0 96000 0 0 0 0 0 0 0 90000
140000 215000 240000 285000 698000 210000 383000 245000 812000 390000 315000 360000 270000 135000 110000 240000 330000 190000 185000 260000 185000 348000 240000 225000 80000 200000 240000 275000 0 230000 105000 135000 95000 295000 190000 215000 175000 245000 215000 215000 145000 175000 105000 295000 170000
270 Z09.8^A09Other and u 271 Z09.8^A91Dengue hae 272 Z09.8^D25Leiomyoma 273 Z09.8^H02Ptosis of e 274 Z09.8^H10Acute conju 275 Z09.8^H25Senile cata 276 Z09.8^H26Cataract, u 277 Z09.8^H93Tinnitus 278 Z09.8^I25.Atheroscler 279 Z09.8^J31.Chronic rhi 280 Z09.8^K59Constipati 281 Z09.8^L13.Bullous dis 282 Z09.8^M10Idiopathic 283 Z09.8^M10Gout, unsp 284 Z09.8^P00Fetus and 285 Z09.8^P03Fetus and 286 Z09.8^R56Febrile con 287 Z09.8^R90Intracrania 288 Z09.8^Z96.Presence of 289 Z39.0 Care and e 290 Z97.5 Presence of 291 A09.0 Other and u 292 B02.9 Zoster wit 293 B36.0 Pityriasis v 294 C85.9 Non-hodgki 295 D27 Benign neo 296 D36.7 Benign neo 297 E79.0 Hyperurica 298 H02.0 Entropion a 299 H11.9 Disorder of 300 H16.0 Corneal ul 301 H16.1 Other super 302 H18.9 Disorder of 303 H30.9 Chorioreti 304 H35.0 Background 305 H35.3 Degenerati 306 K04.9 Other and u 307 K05.3 Chronic per 308 K12.1 Other forms 309 K46.9 Unspecifie 310 K58.9 Irritable 311 K75.9 Inflammator 312 K80.5 Calculus of 313 K92.1 Melaena 314 L02.4 Cutaneous
555555555555555555555444444444444444444444444-
0 0 0 0 48500 0 0 0 0 0 0 0 0 0 0 0 0 0 153500 237000 0 0 0 0 0 0 0 0 0 48500 0 0 48500 0 0 0 590000 0 0 0 0 0 0 0 0
0 672000 0 712000 0 376000 0 712000 0 429000 0 715000 0 740000 0 840000 0 634000 0 840000 0 712000 0 1088000 0 960000 0 672000 0 920000 0 880000 0 672000 0 336000 0 572000 0 922000 0 168000 0 572760 0 426000 0 672000 0 672000 0 586000 0 787000 0 258000 0 572000 0 572000 0 572000 0 429000 0 484000 0 572000 0 429000 0 429000 0 288000 0 384000 0 522000 0 599000 0 712000 0 672000 0 672000 0 438000 0 630000
0 0 168000 0 143000 0 0 0 168000 0 0 0 0 0 0 0 0 336000 143000 0 0 0 90000 0 0 0 0 0 0 0 0 0 143000 0 0 0 0 0 0 0 0 0 0 0 0
160000 105000 65000 313000 205000 275000 230000 200000 145000 200000 120000 145000 65000 160000 120000 160000 145000 115000 260000 185000 40000 95000 175000 175000 205000 414000 95000 95000 235000 280000 250000 210000 180000 235000 210000 180000 120000 175000 190000 25000 135000 180000 195000 245000 135000
315 L03.0 Cellulitis o 316 L03.9 Cellulitis, 317 L40.9 Psoriasis, 318 M10.0 Idiopathic 319 M67.4 Ganglion 320 M79.0 Rheumatism 321 N21.0 Calculus in 322 N45.9 Orchitis e 323 N47 Redundant 324 P96.9 Condition o 325 S09.9 Unspecified 326 T16 Foreign bo 327 Z09.8^B02Zoster wit 328 Z09.8^B16Acute hepa 329 Z09.8^B19Unspecified 330 Z09.8^C73Malignant 331 Z09.8^H52Astigmatis 332 Z09.8^I21.Acute trans 333 Z09.8^I50.Heart failu 334 Z09.8^J30.Allergic rhi 335 Z09.8^J90 Pleural ef 336 Z09.8^K80Calculus of 337 Z09.8^M19Arthrosis, 338 Z09.8^N13Other and 339 Z09.8^N76Acute vagin 340 Z09.8^R31Unspecifie 341 Z09.8^R33Retention o 342 Z38.0 Singleton, 343 C22.0 Malignant 344 C44.5 Malignant 345 C49.9 Malignant 346 C76.2 Malignant 347 D39.1 Neoplasm o 348 E78.5 Hyperlipid 349 H02.8 Other speci 350 H10.2 Other acute 351 H35.8 Other speci 352 I13.9 Hypertensi 353 I84.5 External h 354 I88.9 Nonspecifi 355 J30.4 Allergic rhi 356 K00.6 Disturbanc 357 K03.6 Deposits [a 358 K05.0 Acute gingi 359 L30.0 Nummular
444444444444444444444444444433333333333333333-
45000 0 0 0 0 0 0 0 0 2550000 0 0 58998 0 0 0 0 0 0 0 0 0 320000 0 0 0 0 0 0 0 0 0 446681 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 153500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
516000 426000 672000 672000 544000 336000 704500 504000 672000 504000 426000 438000 672000 504000 504000 672000 286000 544000 672000 504000 544000 504000 807000 672000 336000 752000 594000 466000 672000 504000 586000 504000 504000 504000 286000 286000 286000 623707 348000 336000 426000 192000 0 288000 504000
0 0 0 0 168000 0 0 168000 0 0 168000 160000 0 0 0 0 143000 0 0 168000 168000 0 0 0 0 0 0 0 0 0 168000 0 0 0 0 0 0 0 81000 90000 0 0 96000 240000 0
220000 170000 160000 160000 120000 115000 175000 190000 205000 90000 160000 175000 145000 120000 105000 130000 135000 80000 170000 100000 110000 120000 40000 145000 95000 80000 160000 103760 190000 135000 135000 165000 150000 135000 125000 125000 110000 752994 150000 135000 135000 95000 25000 135000 120000
360 L63.9 Alopecia ar 361 L85.3 Xerosis cut 362 L89.9 Decubitus 363 L92.9 Granulomat 364 L98.4 Chronic ulc 365 M25.5 Pain in join 366 N34.2 Other ureth 367 N80.1 Endometrio 368 N92.6 Irregular m 369 N94.6 Dysmenorrh 370 O03.4 Spontaneou 371 O41.0 Oligohydra 372 O99.5 Diseases o 373 P24.9 Neonatal a 374 Q25.0 Patent duct 375 R02 Gangrene, 376 R09.1 Pleurisy 377 R17 Unspecifie 378 R19.0 Intra-abdo 379 R25.2 Cramp and 380 R31 Unspecifie 381 R59.0 Localized 382 T14.9 Injury, uns 383 T15.1 Foreign bod 384 Z08.9 Follow-up 385 Z09.8^A09Diarrhoea a 386 Z09.8^B34Viral infec 387 Z09.8^D56Thalassaem 388 Z09.8^E78Hyperlipid 389 Z09.8^E79Hyperurica 390 Z09.8^H11Pterygium 391 Z09.8^J00 Acute naso 392 Z09.8^J02.Acute phary 393 Z09.8^J03.Acute tonsi 394 Z09.8^K52Noninfectiv 395 Z09.8^K80Calculus of 396 Z09.8^L21.Seborrhoei 397 Z09.8^L30.Nummular 398 Z09.8^L40.Psoriasis, 399 Z09.8^L50.Urticaria, 400 Z09.8^M43Spondyloly 401 Z09.8^N05Unspecifie 402 Z09.8^N20Calculus of 403 Z09.8^N45Orchitis e 404 Z09.8^N61Inflammato
333333333333333333333333333333333333333333333-
0 0 229000 0 0 0 0 0 0 0 0 0 0 0 0 480000 0 0 0 0 0 0 45000 0 0 0 0 0 0 0 145500 0 0 0 0 0 0 0 0 0 0 0 0 0 75000
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
336000 504000 504000 504000 336000 348000 479000 409500 418000 545000 627000 662200 180000 504000 180000 288000 336000 504000 391000 90000 426000 426000 270000 143000 504000 0 426000 766770 504000 544000 143000 426000 208000 336000 504000 504000 544000 504000 504000 504000 504000 168000 168000 168000 504000
0 0 0 0 168000 0 0 0 0 0 0 0 90000 0 90000 0 168000 0 455000 0 0 0 0 0 0 0 0 0 0 0 286000 0 0 0 0 0 0 0 0 0 0 168000 336000 336000 0
95000 150000 150000 120000 120000 135000 150000 270000 80000 150000 120000 55000 75000 120000 105000 135000 120000 135000 55000 55000 150000 105000 150000 331500 125000 0 135000 347000 125000 80000 120000 120000 208000 85000 120000 90000 80000 105000 120000 120000 120000 291000 75000 90000 120000
405 Z09.8^N91Amenorrhoe 406 Z09.8^N93Abnormal u 407 Z09.8^O80Spontaneou 408 Z09.8^O80Single spon 409 Z09.8^P21Mild and m 410 Z09.8^P54Neonatal h 411 Z09.8^R18Ascites 412 Z09.8^S29.Unspecified 413 Z32.1 Pregnancy 414 A18.8 Tuberculosi 415 B01.9 Varicella w 416 B35.1 Tinea ung 417 B35.9 Dermatophy 418 C11.9 Malignant 419 C20 Malignant 420 C44.9 Malignant 421 C53.9 Malignant 422 C76.5 Malignant 423 D15.2 Benign ne 424 D17.9 Benign lip 425 D21.0 Benign neo 426 D21.9 Benign neo 427 D25.9 Leiomyoma 428 D45 Polycythae 429 D48.5 Neoplasms 430 D64.9 Anaemia, u 431 D73.8 Other dise 432 E04.1 Nontoxic s 433 E11.3 Non-insuli 434 E14.4 Unspecified 435 E14.6 Unspecified 436 E78.0 Pure hyper 437 F95.9 Tic disorde 438 H01.0 Blepharitis 439 H16.2 Keratoconju 440 H16.8 Other kerat 441 H18.4 Corneal de 442 H18.8 Other speci 443 H26.8 Other speci 444 H50.0 Convergent 445 H50.5 Heterophor 446 H53.2 Diplopia 447 H53.9 Visual dist 448 H57.9 Disorder o 449 H93.1 Tinnitus
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0 0 0 237000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59000 0 0 0 0 0 0 48500 0 0 0 0 0 0 0 0 48500 0 186700 0 97000 0 0 0 0 0
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418000 168000 377000 504000 376000 504000 672000 336000 110500 336000 168000 336000 336000 336000 336000 336000 336000 278000 336000 336000 563000 376000 539500 391000 0 258000 286000 0 311000 336000 246500 258000 336000 286000 143000 143000 286000 96000 0 143000 311000 286000 286000 341000 336000
0 0 336000 0 0 0 0 0 0 0 90000 0 0 0 0 0 209000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143000 0 0 0 0 0
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450 I20.9 451 I25.1 452 I25.9 453 I50.9 454 I83.9 455 I84.1 456 J06.8 457 J31.0 458 K02.1 459 K05.2 460 K60.3 461 L01.0 462 L13.9 463 L81.7 464 M06.9 465 M10.09 466 M13.9 467 M47.99 468 M62.9 469 M79.19 470 N10 471 N18.9 472 N20.1 473 N49.1 474 N80.0 475 N81.4 476 N85.0 477 O02.0 478 O02.1 479 O13 480 O16 481 O20.0 482 O47.1 483 P39.9 484 Q12.0 485 R40.2 486 R56.0 487 S05.0 488 S05.8 489 S39.9 490 S69.9 491 S82.90 492 T15.0 493 T31.2 494 T88.7
Angina pect Atheroscler Chronic is Heart failu Varicose ve Internal h Other acute Chronic rhi Caries of d Acute perio Anal fistul Impetigo [a Bullous dis Pigmented Rheumatoid Idiopathic Arthritis, Spondylosis Disorder o Myalgia, si Acute tubul Chronic ren Calculus of Inflammator Endometrio Uterovagin Endometria Blighted o Missed abo Gestationa Unspecifie Threatened False labou Infection s Congenital Coma, unsp Febrile con Injury con Other injur Unspecifie Unspecified Fracture of Foreign bo Burns invo Unspecifie
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235000 336000 336000 499500 336000 168000 0 90000 96000 264000 376000 336000 376000 336000 336000 0 258000 336000 336000 346500 90000 336000 336000 336000 209000 336000 336000 377000 418000 586000 377000 418000 418000 336000 286000 411000 336000 143000 143000 168000 180000 0 286000 90000 336000
0 0 0 0 0 0 258000 0 0 0 0 0 0 0 0 90000 0 0 0 0 91000 0 0 0 0 0 0 0 0 0 0 168000 0 0 0 581000 0 0 0 0 0 0 0 0 0
25000 95000 110000 40000 120000 233000 50000 40000 40000 65000 55000 95000 40000 80000 95000 25000 80000 50000 95000 100000 40000 80000 95000 95000 55000 80000 80000 55000 95000 95000 95000 95000 110000 80000 125000 95000 95000 55000 55000 40000 80000 0 140000 25000 100000
495 Z09.7 Follow-up 496 Z09.8^B00Herpesviral 497 Z09.8^B35Tinea pedi 498 Z09.8^B35Dermatophy 499 Z09.8^C18Malignant 500 Z09.8^C20Malignant 501 Z09.8^C22Malignant 502 Z09.8^C53Malignant 503 Z09.8^C85Non-hodgki 504 Z09.8^D17Benign lip 505 Z09.8^E11Non-insuli 506 Z09.8^E16Hypoglycae 507 Z09.8^G62Other spec 508 Z09.8^G63Polyneurop 509 Z09.8^H00Hordeolum 510 Z09.8^H20Iridocyclit 511 Z09.8^H44Degenerati 512 Z09.8^H52Hypermetr 513 Z09.8^I12.Hypertensiv 514 Z09.8^I13.Hyper heart 515 Z09.8^I49.Cardiac ar 516 Z09.8^I51.Heart dise 517 Z09.8^I63.Other cereb 518 Z09.8^I84.Internal h 519 Z09.8^J05.Acute obstr 520 Z09.8^J06.Other acute 521 Z09.8^J20.Acute bronc 522 Z09.8^K00Disturbanc 523 Z09.8^K05Acute gingi 524 Z09.8^K27Peptic ulc 525 Z09.8^K36Other appe 526 Z09.8^K40Unilateral 527 Z09.8^K58Irritable 528 Z09.8^K61Anal absce 529 Z09.8^K75Inflammator 530 Z09.8^K81Cholecystit 531 Z09.8^K92Melaena 532 Z09.8^L02.Cutaneous 533 Z09.8^L20.Atopic derm 534 Z09.8^L25.Unspecifie 535 Z09.8^L30.Other speci 536 Z09.8^M06Rheumatoid 537 Z09.8^M13Polyarthrit 538 Z09.8^M19Arthrosis, 539 Z09.8^M25Pain in join
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 168000 168000 336000 336000 376000 168000 336000 336000 336000 336000 168000 336000 286000 143000 286000 286000 168000 336000 376000 336000 336000 336000 336000 90000 376000 192000 192000 336000 336000 336000 336000 446500 336000 168000 336000 376000 376000 0 168000 0 336000 168000 336000
168000 0 0 0 0 0 0 168000 0 0 0 0 0 0 0 143000 0 0 0 0 206000 0 0 0 0 0 0 186700 240000 0 0 0 0 0 0 168000 0 0 0 0 0 168000 0 168000 0
233000 416000 233000 40000 80000 85000 40000 50000 80000 95000 65000 85000 233000 80000 110000 95000 110000 110000 40000 80000 40000 90000 80000 50000 65000 25000 25000 50000 80000 70000 80000 80000 95000 105000 80000 65000 85000 25000 40000 416000 248000 25000 80000 50000 85000
540 Z09.8^M47Ant spinal 541 Z09.8^M54Low back p 542 Z09.8^M63Other disor 543 Z09.8^M65Synovitis a 544 Z09.8^M72Fibroblasti 545 Z09.8^N13Hydronephro 546 Z09.8^N18Chronic kid 547 Z09.8^N20Urinary cal 548 Z09.8^N72Inflammator 549 Z09.8^N85Other spec 550 Z09.8^P01Fetus and 551 Z09.8^P01Fetus and 552 Z09.8^P37Neonatal c 553 Z09.8^R11Nausea and 554 Z09.8^R13Dysphagia 555 Z09.8^R56Other and 556 Z09.8^R59Localized 557 Z09.8^R62Lack of ex 558 Z09.8^S09.Unspecified 559 Z09.8^S80.Contusion o 560 Z98.8 Other speci 561 A18.1 Tuberculos 562 A35 Other teta 563 A46 Erysipelas 564 A53.9 Syphilis, u 565 A57 Chancroid 566 A68.9 Relapsing f 567 A91 Dengue hae 568 B00.1 Herpesviral 569 B00.9 Herpesviral 570 B05.9 Measles wi 571 B06.8 Rubella wi 572 B08.4 Enteroviral 573 B15.9 Hepatitis 574 B16.9 Acute hepa 575 B26.9 Mumps wit 576 B34.9 Viral infec 577 B35.2 Tinea man 578 B35.6 Tinea cruri 579 B37.2 Candidiasis 580 B55.0 Visceral le 581 B85.2 Pediculosis 582 B86 Scabies 583 B96.8 Other spec 584 B97.1 Enterovirus
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
336000 336000 168000 168000 336000 168000 336000 0 336000 417000 335999 336000 168000 258000 168000 336000 168000 336000 336000 168000 336000 168000 90000 168000 168000 168000 168000 223000 168000 168000 90000 90000 168000 168000 168000 90000 90000 168000 168000 168000 168000 168000 0 0 168000
0 0 0 168000 0 168000 0 0 0 0 0 0 0 0 0 0 168000 0 0 168000 0 0 110500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90000 0 0
80000 80000 253000 65000 80000 65000 80000 416000 80000 40000 80000 80000 25000 80000 248000 80000 65000 80000 65000 65000 80000 40000 40000 40000 55000 0 55000 0 55000 55000 25000 40000 40000 55000 40000 25000 40000 40000 40000 55000 40000 40000 25000 0 40000
585 C11.1 586 C18.9 587 C22.9 588 C25.9 589 C38.3 590 C40.0 591 C40.2 592 C41.9 593 C47.9 594 C67.9 595 C95.9 596 D01.2 597 D12.8 598 D16.2 599 D18.0 600 D21.1 601 D21.3 602 D21.4 603 D23.1 604 D23.9 605 D26.9 606 D37.0 607 D37.5 608 D37.7 609 D41.4 610 D48.0 611 D48.9 612 D59.5 613 D59.9 614 E07.9 615 E11.0 616 E11.7 617 E16.2 618 E66.9 619 E78.1 620 E85.9 621 E86 622 F03 623 F10.8 624 G45.9 625 G56.0 626 G81.9 627 G82.2 628 H02.4 629 H02.5
Malignant Malignant Malignant n Malignant Malignant Malignant Malignant Malignant Malignant Malignant Leukaemia, Carcinoma Benign neo Benign neo Haemangiom Benign neop Benign neo Benign neo Benign neop Benign neo Benign neo Neoplasm o Neoplasm o Neoplasm o Neoplasm o Neoplasms Neoplasm o Paroxysmal Acquired h Disorder of Non-insuli Non-insuli Hypoglycae Obesity, un Pure hyper Amyloidosi Volume dep Unspecifie Mental & b Transient c Carpal tun Hemiplegia Paraplegia, Ptosis of e Other disor
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168000 168000 145000 168000 168000 0 168000 168000 168000 168000 0 168000 0 168000 168000 168000 168000 0 143000 168000 209000 0 168000 168000 0 168000 278000 0 168000 168000 90000 168000 215000 168000 168000 90000 90000 168000 90000 168000 223000 168000 168000 143000 143000
0 0 0 0 0 168000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168000 0 0 0 0 0 0 0 0 0 0 0 0 0 91000 0 0 0 0 0 0 0 0 0
55000 40000 0 55000 55000 25000 55000 55000 40000 40000 0 55000 0 55000 40000 25000 55000 0 70000 55000 55000 25000 40000 40000 0 55000 111000 0 55000 55000 55000 45000 40000 40000 60000 40000 55000 55000 40000 55000 0 55000 55000 70000 55000
630 H02.7 631 H04.1 632 H04.3 633 H05.0 634 H10.4 635 H11.1 636 H15.0 637 H17.8 638 H18.0 639 H26.1 640 H26.2 641 H26.3 642 H33.2 643 H34.2 644 H35.7 645 H35.9 646 H40.9 647 H43.1 648 H43.8 649 H44.5 650 H44.9 651 H47.7 652 H50.1 653 H50.6 654 H53.8 655 H55 656 H57.0 657 H59.0 658 H59.8 659 H61.2 660 H83.3 661 I09.8 662 I09.9 663 I12.0 664 I20.0 665 I21.0 666 I21.3 667 I21.9 668 I26.9 669 I49.9 670 I51.6 671 I51.9 672 I77.6 673 I84.2 674 I86.1
Other degen Other disor Acute and Acute infl Chronic con Conjunctiv Scleritis Other corne Corneal pi Traumatic Complicate Drug-induc Serous ret Other retin Separation Retinal dis Glaucoma, Vitreous h Other diso Degenerate Disorder of Disorder of Divergent Mechanical Other visu Nystagmus Anomalies o Keratopathy Other post Impacted Noise efec Other spec Rheumatic Hypertensiv Unstable a Acute trans Acute trans Acute myoca Pulmonary Cardiac ar Cardiovascu Heart dise Arteritis, Internal h Scrotal var
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143000 0 143000 143000 0 143000 143000 213000 143000 0 143000 0 143000 143000 0 0 0 143000 0 143000 143000 143000 143000 143000 143000 143000 0 143000 143000 168000 143000 168000 168000 168000 0 291500 0 168000 319500 254000 90000 168000 168000 336000 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70000 0 70000 55000 261500 70000 55000 0 70000 0 70000 0 55000 55000 0 0 40000 55000 0 70000 70000 70000 40000 55000 55000 55000 0 70000 70000 40000 55000 55000 55000 55000 0 25000 0 45000 385000 25000 40000 40000 40000 80000 0
675 I88.1 676 J00 677 J04.0 678 J05.0 679 J20.9 680 J21.9 681 J33.9 682 J39.8 683 J44.0 684 J81 685 J86.9 686 J90 687 J98.0 688 K01.0 689 K03.1 690 K04.2 691 K04.8 692 K05.6 693 K06.2 694 K06.8 695 K07.2 696 K11.2 697 K12.2 698 K25.9 699 K27.9 700 K29.5 701 K35.3 702 K36 703 K56.6 704 K61.0 705 K62.1 706 K80.8 707 L02.0 708 L02.1 709 L02.3 710 L02.8 711 L04.2 712 L04.9 713 L25.9 714 L28.0 715 L28.2 716 L29.2 717 L29.9 718 L30.3 719 L30.5
Chronic ly Acute naso Acute laryn Acute obstr Acute bronc Acute bronc Nasal poly Other speci Chronic obs Pulmonary Pyothorax w Pleural ef Diseases of Embedded Abrasion o Pulp degen Radicular c Periodontal Gingival an Other speci Anomalies o Sialoadenit Cellulitis Gastric ul Peptic ulc Chronic gas Acute appen Other appe Other and u Anal absce Rectal pol Other chole Cutaneous Cutaneous Cutaneous Cutaneous Acute lymp Acute lymp Unspecified Lichen sim Other prur Pruritus vu Pruritus, u Infective d Pityriasis a
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
168000 168000 0 168000 0 90000 0 168000 90000 200500 168000 168000 168000 96000 96000 96000 96000 90000 96000 168000 0 168000 168000 168000 209000 0 168000 145000 200500 168000 168000 90000 90000 0 168000 0 168000 168000 0 0 168000 168000 168000 0 168000
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168000 0 0 0 0 0 0 0 0 0 0 0
55000 55000 145000 55000 0 40000 0 40000 55000 110000 40000 40000 55000 55000 25000 40000 40000 55000 40000 40000 0 40000 55000 40000 55000 0 25000 0 55000 55000 40000 40000 25000 25000 40000 0 40000 55000 0 208000 40000 55000 40000 0 55000
720 L50.0 721 L51.9 722 L53.9 723 L65.9 724 L73.9 725 L80 726 L84 727 L85.9 728 L90.5 729 L91.8 730 L93.0 731 L97 732 M10.9 733 M13.0 734 M13.1 735 M14.6 736 M19.90 737 M19.99 738 M25.59 739 M32.9 740 M41.99 741 M43.1 742 M51.2 743 M60.0 744 M62.8 745 M62.89 746 M71.2 747 M71.26 748 M72.9 749 M76.6 750 M76.60 751 M77.9 752 M79.09 753 M79.2 754 M79.27 755 M79.97 756 N12 757 N13.1 758 N18.2 759 N20.9 760 N31.9 761 N43.3 762 N60.1 763 N71.9 764 N76.2
Allergic urt Erythema m Erythemato Nonscarring Follicular Vitiligo Corns and c Epidermal Scar condit Other hyper Discoid lu Ulcer of lo Gout, unsp Polyarthrit Monoarthrit Neuropathi Arthrosis, Arthrosis, Pain in joi Systemic l Scoliosis, Spondylolis Other speci Infective m Other speci Other speci Synovial cy Synovial cy Fibroblasti Achilles te Achilles ten Enthesopat Rheumatism Neuralgia a Neuralgia a Soft tissue Tubulo-inte Hydronephro Chronic kid Urinary cal Neuromuscu Hydrocele, Difuse cy Inflammato Acute vulvi
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
90000 336000 130000 0 168000 168000 90000 168000 168000 168000 168000 168000 0 168000 168000 168000 0 168000 0 168000 0 90000 0 168000 374000 168000 168000 0 168000 168000 168000 168000 0 168000 168000 168000 168000 0 0 168000 168000 168000 168000 90000 209000
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90000 0 0 0 0 168000 0 0 0 0 168000 0 0 0 0 0 0 0 0 0 0 0 0
40000 65000 0 0 55000 40000 25000 40000 40000 55000 55000 40000 0 40000 55000 40000 0 55000 223000 40000 0 55000 25000 40000 40000 55000 55000 25000 40000 55000 40000 40000 25000 55000 40000 40000 40000 0 0 55000 55000 55000 55000 60000 40000
765 N81.3 766 N85.8 767 N89.8 768 N90.7 769 N95.1 770 O00.9 771 O03.3 772 O03.6 773 O03.9 774 O06.4 775 O06.8 776 O10.9 777 O14.1 778 O32.2 779 O34.0 780 O60.1 781 O90.1 782 O99.6 783 P01.1 784 P03.6 785 P22.0 786 P24.8 787 P39.1 788 P54.9 789 P78.3 790 P92.9 791 Q28.2 792 Q52.3 793 Q69.9 794 Q70.4 795 Q78.0 796 Q79.3 797 Q82.3 798 Q89.8 799 Q96.9 800 R00.2 801 R09.0 802 R10.2 803 R13 804 R16.1 805 R18 806 R41.3 807 R47.8 808 R55 809 R62.9
Complete u Other spec Other spec Vulvar cyst Menopausal Ectopic pr Spontaneou Spontaneou Spontaneou Unspecifie Unspecifie Unspecifie Severe pre Maternal ca Maternal c Preterm la Disruption Diseases o Fetus and Fetus and Respirator Other neon Neonatal co Neonatal h Noninfecti Feeding pr Arterioven Imperfora Polydactyly Polysyndac Osteogenes Gastroschis Incontinen Other spec Turner's s Palpitation Asphyxia Pelvic and Dysphagia Splenomega Ascites Other amn Other and Syncope an Lack of ex
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48500 0 0 0 0 0 0 230000 0 0 0 0 0 800000 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
329000 168000 0 168000 209000 209000 209000 209000 200500 110500 209000 0 209000 209000 168000 224260 209000 209000 168000 168000 168000 168000 168000 168000 168000 168000 168000 143000 208000 223000 168000 110500 209000 0 200500 168000 168000 168000 168000 168000 168000 173000 168000 90000 168000
0 0 168000 0 0 0 0 0 0 0 0 168000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185000 0 0 0 0 0 0 0 0 0 0 0 0 0
55000 40000 25000 40000 40000 55000 40000 40000 190000 190000 55000 25000 55000 40000 55000 315000 40000 40000 40000 40000 40000 40000 40000 40000 40000 40000 25000 55000 0 0 40000 115000 40000 0 55000 55000 40000 40000 55000 40000 40000 40000 55000 25000 40000
810 R63.0 Anorexia 811 R63.8 Other symp 812 R68.8 Other spec 813 R73.9 Hyperglyca 814 S01.9 Open wound 815 S06.0 Concussio 816 S06.00 Concussion 817 S06.2 Difuse bra 818 S12.91 Fracture of 819 S22.3 Fracture of 820 S27.0 Traumatic 821 S29.9 Unspecified 822 S32.0 Fracture o 823 S52.7 Multiple fr 824 S62.6 Fracture of 825 S91.3 Open wound 826 S93.3 Dislocation 827 S99.9 Unspecified 828 T01.9 Multiple o 829 T07 Unspecified 830 T14.2 Fracture o 831 T14.61 Injury of 832 T14.8 Other injur 833 T14.91 Injury, uns 834 T15.8 Foreign bod 835 T15.9 Foreign bod 836 T17.0 Foreign bod 837 T31.0 Burns invol 838 T31.1 Burns invo 839 T31.3 Burns invo 840 T62.9 Toxic efec 841 T70.3 Caisson di 842 T81.4 Infection f 843 Z01.1 Examinatio 844 Z03.0 Observatio 845 Z03.4 Observatio 846 Z08.8 Follow-up 847 Z09.8^A06Acute amoe 848 Z09.8^A15Tuberculous 849 Z09.8^A16Tuberculosi 850 Z09.8^A18Tuberculosi 851 Z09.8^A18Tuberculou 852 Z09.8^A18Tuberculosi 853 Z09.8^A35Other teta 854 Z09.8^B01Varicella w
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 90000 90000 0 90000 90000 90000 168000 168000 168000 168000 168000 90000 90000 90000 90000 90000 168000 90000 90000 0 168000 143000 90000 143000 0 0 0 0 168000 90000 168000 0 90000 0 90000 168000 0 168000 168000 168000 168000 168000 168000 168000
0 91000 0 0 0 91000 0 0 0 0 0 0 120000 0 0 95000 0 0 0 0 0 0 0 0 0 0 90000 0 90000 0 0 0 0 0 90000 0 0 0 0 0 0 0 0 0 0
249000 40000 115000 0 55000 55000 55000 40000 40000 25000 40000 25000 55000 55000 55000 55000 25000 55000 55000 55000 0 55000 70000 40000 70000 0 25000 0 25000 40000 40000 55000 0 55000 25000 55000 25000 0 40000 40000 25000 40000 55000 40000 40000
855 Z09.8^B05Measles wi 856 Z09.8^B08Enteroviral 857 Z09.8^B18Chronic vir 858 Z09.8^B26Mumps wit 859 Z09.8^B35Tinea ung 860 Z09.8^B55Visceral le 861 Z09.8^C11Malignant 862 Z09.8^C16Malignant 863 Z09.8^C40Malignant 864 Z09.8^C44Malignant 865 Z09.8^C47Malignant 866 Z09.8^C49Malignant 867 Z09.8^C56Malignant 868 Z09.8^C67Malignant 869 Z09.8^C76Malignant 870 Z09.8^C91Chronic ly 871 Z09.8^D15Benign ne 872 Z09.8^D21Benign neo 873 Z09.8^D21Benign neop 874 Z09.8^D21Benign neo 875 Z09.8^D27Benign neo 876 Z09.8^D37Neoplasm o 877 Z09.8^D61Aplastic a 878 Z09.8^D64Other spec 879 Z09.8^D69Thrombocyt 880 Z09.8^E10Insulin-de 881 Z09.8^E11Non-insuli 882 Z09.8^E11Non-insuli 883 Z09.8^E14Unspecifie 884 Z09.8^E14Unspecifie 885 Z09.8^E78Other hype 886 Z09.8^E86Volume dep 887 Z09.8^E87Acidosis 888 Z09.8^F44.Dissociativ 889 Z09.8^G99Autonomic 890 Z09.8^H02Entropion a 891 Z09.8^H02Other speci 892 Z09.8^H10Acute atopi 893 Z09.8^H10Other acute 894 Z09.8^H10Blepharocon 895 Z09.8^H10Other conju 896 Z09.8^H13Conjunctivi 897 Z09.8^H15Episcleritis 898 Z09.8^H16Corneal ul 899 Z09.8^H16Keratitis,
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40000 40000 40000 0 40000 25000 40000 0 55000 0 40000 0 40000 25000 40000 40000 0 40000 40000 40000 40000 40000 40000 40000 40000 55000 30000 40000 45000 40000 55000 0 40000 40000 25000 55000 40000 55000 55000 40000 0 0 55000 55000 55000
900 Z09.8^H25Other senil 901 Z09.8^H35Background 902 Z09.8^H35Separation 903 Z09.8^H36Diabetic r 904 Z09.8^H40Primary op 905 Z09.8^H40Primary an 906 Z09.8^H44Purulent e 907 Z09.8^H50Convergent 908 Z09.8^H57Other spec 909 Z09.8^H60Otitis exte 910 Z09.8^I77.Arteritis, 911 Z09.8^I84.External h 912 Z09.8^I87.Venous insu 913 Z09.8^I88.Chronic ly 914 Z09.8^I88.Nonspecifi 915 Z09.8^J44.Chronic obs 916 Z09.8^K02Caries of d 917 Z09.8^K04Periapical 918 Z09.8^K05Chronic gin 919 Z09.8^K12Other forms 920 Z09.8^K27Peptic ulc 921 Z09.8^K29Chronic gas 922 Z09.8^K35Acute appen 923 Z09.8^K35Acute appe 924 Z09.8^K40Bilateral i 925 Z09.8^K40Unilateral 926 Z09.8^K40Unilateral 927 Z09.8^K43Ventral he 928 Z09.8^K46Unspecifie 929 Z09.8^K58Irritable 930 Z09.8^K62Rectal pol 931 Z09.8^K70Alcoholic l 932 Z09.8^K75Abscess of 933 Z09.8^K80Other chole 934 Z09.8^K83Obstruction 935 Z09.8^L01.Impetigo [a 936 Z09.8^L02.Cutaneous 937 Z09.8^L02.Cutaneous 938 Z09.8^L03.Cellulitis o 939 Z09.8^L03.Cellulitis o 940 Z09.8^L04.Acute lymp 941 Z09.8^L21.Seborrhoea 942 Z09.8^L24.Irritant co 943 Z09.8^L25.Unspecifie 944 Z09.8^L25.Unspecifie
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0 0 0 0 143000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55000 55000 55000 25000 40000 55000 40000 55000 40000 40000 208000 40000 60000 40000 40000 40000 40000 25000 55000 0 0 0 40000 40000 55000 40000 25000 40000 40000 0 40000 40000 40000 25000 40000 40000 40000 40000 40000 40000 40000 40000 40000 208000 40000
945 Z09.8^L65.Nonscarring 946 Z09.8^L89.Decubitus 947 Z09.8^L98.Chronic ulc 948 Z09.8^M13Arthritis, 949 Z09.8^M13Arthritis, 950 Z09.8^M14Neuropathi 951 Z09.8^M25Flail joint 952 Z09.8^M41Scoliosis, 953 Z09.8^M43Spondylolys 954 Z09.8^M43Spondyloly 955 Z09.8^M43Torticollis 956 Z09.8^M47Other spond 957 Z09.8^M47Other spon 958 Z09.8^M47Other spon 959 Z09.8^M47Other spond 960 Z09.8^M49Neuropathi 961 Z09.8^M49Neuropathi 962 Z09.8^M54Sciatica, mu 963 Z09.8^M54Sciatica, l 964 Z09.8^M65Synovitis a 965 Z09.8^M67Ganglion 966 Z09.8^M76Achilles te 967 Z09.8^M77Enthesopat 968 Z09.8^N11Nonobstruct 969 Z09.8^N13Pyonephros 970 Z09.8^N21Calculus in 971 Z09.8^N30Other chron 972 Z09.8^N49Inflammato 973 Z09.8^N60Benign mam 974 Z09.8^N73Female acut 975 Z09.8^N75Abscess of 976 Z09.8^N80Endometrio 977 Z09.8^N81Complete u 978 Z09.8^N81Female gen 979 Z09.8^N90Vulvar cyst 980 Z09.8^N91Secondary 981 Z09.8^N94Premenstru 982 Z09.8^O03Spontaneou 983 Z09.8^O06Unspecifie 984 Z09.8^O10Pre-existi 985 Z09.8^O16Unspecifie 986 Z09.8^O20Threatened 987 Z09.8^O41Oligohydra 988 Z09.8^O73Retained p 989 Z09.8^O82Delivery by
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0 119000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45000 0 0 59000 0 0 0 0 0 0 0 0 0 0 0 0 0 119000
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 168000 168000 168000 0 168000 208000 168000 0 0 168000 168000 168000 208000 168000 208000 0 0 168000 0 168000 168000 168000 168000 168000 0 168000 168000 0 209000 168000 0 168000 168000 168000 0 209000 168000 209000 168000 209000 209000 209000 209000 168000
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25000 40000 40000 25000 827000 40000 0 40000 0 25000 40000 40000 25000 0 25000 0 340000 0 40000 25000 40000 40000 40000 40000 40000 25000 40000 40000 0 40000 40000 0 40000 40000 55000 25000 40000 25000 40000 25000 40000 40000 40000 40000 40000
990 Z09.8^O82Delivery b 991 Z09.8^P00Fetus and 992 Z09.8^P20Intrauterin 993 Z09.8^P21Severe bir 994 Z09.8^P21Birth asphy 995 Z09.8^P22Respiratory 996 Z09.8^P23Congenital 997 Z09.8^P24Other neon 998 Z09.8^P39Neonatal co 999 Z09.8^P92Feeding pr 1000 Z09.8^Q61Polycystic 1001 Z09.8^R02Gangrene, 1002 Z09.8^R04Epistaxis 1003 Z09.8^R12Heartburn 1004 Z09.8^R41Disorientat 1005 Z09.8^R41Other amn 1006 Z09.8^R53Malaise an 1007 Z09.8^S06.Difuse bra 1008 Z09.8^S06Difuse bra 1009 Z09.8^S06.Intracrania 1010 Z09.8^S43.Dislocation 1011 Z09.8^S93.Dislocation 1012 Z09.8^T14Superficial 1013 Z09.8^T14Open wound 1014 Z09.8^T14Injury of 1015 Z09.8^T14Injury, uns 1016 Z09.8^T16Foreign bo 1017 Z09.8^T30Burn of un 1018 Z09.8^Z03.Observation 1019 Z09.8^Z32.Pregnancy, 1020 Z09.8^Z39.Routine po 1021 Z09.8^Z97.Presence of 1022 Z30.5 Surveillanc 1023 Z39.1 Care and e 1024 Z43.8 Attention t 1025 Z51.5 Palliative c 1026 Z90.8 Acquired a
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PenunjangLaborator Radiologi Pelayanan RehabilitasKamar / A Rawat InteObat Alkes BMHP 1203000 2861000 8599600 0 253641 73629566 0 1.2E+08 270000 0 420000 8356000 286000 0 0 33013888 0 1E+08 0 0 0 3996000 5844800 0 0 13232337 0 78723281 0 0 0 618000 1605500 0 0 2551887 0 32254844 0 0 390000 16220000 2645500 0 0 24190759 0 16200241 254500 0 270000 2077000 3679000 0 0 13987164 0 9398887 120000 23760 0 3493000 789500 0 0 6707730 0 5389927 0 23760 435000 0 0 0 0 12006055 0 1876113 2570500 0 198760 5274000 1573000 0 0 4406804 0 18650103 2009520 2942400 0 2502000 416000 0 0 5575772 0 21418747 0 0 566000 874000 2398500 0 0 600720 0 9936248 0 23760 492280 2859500 7865000 0 0 405000 23760 15505617 1015160 400960 0 264000 0 0 0 2107187 0 27721686 0 0 285000 30000 0 0 0 10450625 0 3929608 977000 0 120000 5612000 578500 0 0 11604431 0 7792023 0 0 360000 180000 195714 0 0 13954162 0 10266558 100000 0 90000 1968000 1079000 0 0 8566774 0 18619944 48500 0 15000 1130000 208000 0 0 7134225 0 13484940 15000 0 135000 263000 2554500 0 0 3398629 0 6512014 0 100000 675000 2772000 2173000 0 41000 8261973 0 3047443 0 0 60000 95000 910000 0 0 3651626 0 4584008 0 0 90000 412000 247000 0 0 4726691 0 3266156 0 0 60000 3135000 0 0 0 3763042 0 3716088 118000 0 15000 230000 617500 0 0 5097798 0 5671585 123760 100000 0 3208000 2648000 0 0 6410126 0 6453736 0 0 330000 90000 1488500 0 0 14650530 0 2159434 0 0 45000 1026000 416000 0 0 1966186 0 11374127 0 0 30000 2048000 123500 0 0 1088842 23760 6182827 261360 223760 75000 875000 455000 0 0 6172094 0 4830637 0 0 210000 1161000 1534000 0 0 2758394 0 3405732 349760 0 30000 210000 1651000 0 0 3138343 0 3356698 253520 0 15000 1056000 0 0 0 1850348 0 9327811 0 0 15000 1315000 1456000 0 0 886996 0 9566713 0 0 0 853000 0 0 0 0 0 8508364 0 0 0 780000 0 0 0 681250 0 8475206 0 0 15000 2739000 455000 0 0 286015 0 8763205 0 0 14999 907000 949000 0 0 836087 0 4021038 0 0 0 1633000 676000 0 0 830256 0 8422724 0 0 15000 902000 455000 0 0 424350 0 5213625 154360 102960 105000 60000 2840500 0 133513 3217277 0 3416276 100000 223760 75000 330000 0 0 0 3766876 0 2741943 145500 0 0 1495000 5167500 0 0 2514439 0 6328468 234760 0 90000 105000 0 0 0 4530491 0 481461 517000 0 15000 462000 123500 0 53480 1802971 0 2691693 0 0
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Sewa Alat Subtotal R Subtotal INA-CBG 1191254 6.14E+08 3.28E+08 0 3.34E+08 1.86E+08 364594 2.75E+08 1.6E+08 800000 1.9E+08 1.38E+08 512000 1.81E+08 1.23E+08 412000 94302290 69554100 0 93622781 95675700 16827448 97327060 63996800 695000 78698808 62229100 0 87465113 53835000 206000 74238988 55604600 1256310 77413265 75459100 0 85329876 50320000 15283681 84075362 54124200 206000 68957404 45667300 100000 62032823 42547500 0 71100219 40334200 0 56057474 34595000 800000 50325845 36087200 0 52474871 52388800 100000 38450894 28754700 100000 33686798 25960000 0 37245132 25307200 1300000 36236391 26255000 121641 37990005 25572100 82760 30852224 23245800 0 38546313 22528700 1240680 29861700 22640400 0 30353731 21068600 366720 30105515 21763300 0 29809980 26963100 0 33074159 19425000 0 34096386 19218600 0 29948492 18130000 0 29656456 18130000 0 32363220 17760000 0 25543125 17553600 0 29612980 16465000 538560 20326615 16833200 1698000 26521582 18337700 2381681 24721200 17243600 0 32109667 15641100 4423681 24977995 16426800 100000 19102644 13997500
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7608700 2775000 2740100 2948400 3703100 2938600 2781000 3137300 2372300 2948400 2938600 2583700 2590000 4137000 3138200 2405000 2737800 2709300 2737800 3435900 4955700 5159600 2405000 2753600 3782300 2342500 2501600 2436000 3951600 2229200 2465000 5212700 2910900 2527200 2772700 2028700 2316600 3570000 2291000 2316600 3962800 2035000 2003100 3378100 2035000
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925000 925000 1494600 925000 1053000 1053000 1053000 925000 925000 925000 925000 925000 925000 925000 925000 925000 925000 925000 1053000 799200 1367000 853800 728400 728400 740000 1658200 1088600 740000 1717200 842400 842400 842400 842400 842400 842400 842400 1132000 978000 728400 965600 965600 929000 1732600 728400 725000
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